• Title/Summary/Keyword: 보행재활

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Effect of Gait Training Using PNF on Balance and Walking Ability in Person with Chronic Stroke(Single Subject Design) (PNF를 이용한 보행 훈련이 만성 뇌졸중 환자의 균형 및 보행에 미치는 영향(단일사례설계))

  • Lee, Moon-Kyu;Yun, Tae-Won;Kim, Yoon-Hwan;Lim, Jae-Heon
    • PNF and Movement
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    • v.10 no.1
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    • pp.43-52
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    • 2012
  • Purpose : The purpose of this study was to observe the effect of a gait training using PNF on a gait and balance ability of a person with chronic stroke. Methods : The subject was left hemiplegia due to cerebral infarction. The subject participated in PNF gait training session as well as baseline for 30 minutes a day for 4 weeks. we used the 10-meter walking test(10MWT), figure-8-of walk test(F8WT), dynamic gait index(DGI) for measuring the gait ability and four square step test(FSST), Berg balance scale(BBS) for measuring the balance ability through the whole sessions. Results : The gait ability was enhanced compared to first baseline, as measured by 10MWT(27.3%), F8WT(36.6%), DGI(8 points increased). The balance ability was improved compared to first baseline, as measured by FSST(49.1%), BBS(10 points increased). The increase was maintained in second baseline session. Conclusion : The PNF gait training program is helpful to enhance the adaptation of the gait and balance according to the various environmental demands.

An Algorithm for Detecting Linear Velocity and Angular Velocity for Improve Convenience of Assistive Walking System (보행보조시스템의 조작 편리성 향상을 위한 사용자의 선속도 및 회전각속도 검출 알고리즘)

  • Kim, Byeong-Cheol;Lee, Won-Young;Eom, Su-Hong;Jang, Mun-Seok;Kim, Pyeong-Su;Lee, Eung-Hyuk
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.4
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    • pp.321-328
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    • 2016
  • In this paper, we propose a walk status method which can be fused with conventional walk intention method to improve convenience of an electric assistive walking system for elder people with restricted walking capabilities. The system uses a handlebar as a trigger and regards grabbing a handlebar as expressing will to walk. And the system uses a user's linear velocity and angular velocity as linear velocity and angular velocity of a system, checked by laser range finder. To achieve this, we propose a method to find a virtual central point of a human body by estimating a central point between two legs. The experiments are carried out by comparing user's linear velocity and angular velocity, and system's linear velocity and angular velocity. The results show that the error of linear velocity and angular velocity between a user and a system are 1% and 2.77%, which means the linear velocity and angular velocity of a user can be applied to a system. And it is confirmed that the proposed fusion method can prevent a user from being dragged by an assistive walking system or a malfunction caused by lack of experience

Walking Assistive Shoes for Visually Impaired Person Using Infrared Sensor and Pressure Sensor (적외선 센서와 압력센서를 이용한 시각장애인용 보행보조신발)

  • Yang, Chang-Min;Jung, Ji-Yong;Kim, Jung-Ja
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.2
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    • pp.147-156
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    • 2017
  • The white cane, walking assistive device of visually impaired person, has disadvantages for acquiring the information by contacting obstacles directly and detecting low obstacle on the ground. Recently, new devices have been developing to solve these problems, but these were not widely used due to high price and appearance. Therefore, in this study, we developed two types of walking assistive shoes which were manufactured with infrared sensors, pressure sensors and vibrating motors. Two types of shoes were classified with single sensor (SS) and double sensor (DS) type according to the number of infrared sensor. To evaluate the effectiveness, we compared required time and number of collisions during walking with walking assistive shoes and white cane on obstacle area. As the results, required time was increased than white cane while number of collisions was decreased when walking with developed walking assistive shoes. In addition, required time and number of collisions was more reduced when using walking assistive device than white cane. Therefore, we suggests that developed walking assistive shoes can a great help to provide safe walking condition and reducing time to adapt new types of walking assistive shoes.

Design and Optimization of an Knee Joint of Fully-active Transfemoral Prosthesis for Stair Walking (계단 보행을 위한 능동형 대퇴의지 무릎 관절의 설계 및 최적화)

  • Ahn, Hyoung-Jong;Lee, Kwang-Hee;Hong, Yi;Lee, Chul-Hee
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.1
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    • pp.65-72
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    • 2016
  • In this study, a fully active transfemoral prothesis with a knee joint is designed considering stair walking conditions. Since the torque at the knee joint required for stair walking condition is relative high compared with the one in normal walking condition, the proposed design has high torque generating mechanism. Moreover, the transfemoral prothesis is designed in compact size to reduce its weight, which is related to comfortable fit and fatigue of patients. Flat type BLDC motor is used for simple and compact structure and various components are used to generate required torque with target working angle and speed. The weight reduction of structure is carried out using optimization method after the initial design process is complete. The optimization is conducted under the load conditions of stair walking. The optimized design is validated via finite element analysis and experiments. As a result, the weight is reduced using topology and shape optimization but maintaining the safety of structure. Also the space efficiency is improved due to its compact size.

The Effects of Visual Rhythmic Stimulation in Gait and Proprioception with Chronic Stroke Patients (시각리듬자극이 만성뇌졸중 환자의 보행과 고유수용감각에 미치는 영향)

  • Cho, Nam-Jeong;Lee, Dong-Yeop
    • Proceedings of the KAIS Fall Conference
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    • 2010.05b
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    • pp.898-901
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    • 2010
  • 본 연구는 만성 뇌졸중 환자를 대상으로 시각리듬자극(RVS)을 이용한 보행 운동을 적용하여 보행과 고유수용성감각에 미치는 효과를 알아보고자 하였다. 뇌졸중으로 6개월 이상 장애를 가진 21명이 연구에 참여하였고 실험군 10명과 대조군 11명으로 나누었다. 대조군은 14m의 보행로가 확보된 공간에서 준비운도 5분, 보행운동 20분, 정리운동 5분 씩 주 3회, 4주간 12회을 실시하였고, 실험군은 대조군의 운동프로그램과 같은 조건에서 보행운동시 시각리듬자극(RVS)을 추가적으로 적용하였다. 운동 전과 후에 보행과 고유수용성감각을 측정하여 효과를 비교하였다. 통계처리 방법으로 실험 전 후 차이를 검증하기 위하여 대응표본 t 검정을 실시하였고 대조군과의 차이 검증을 위하여 독립표본 t 검정을 실시하였다. 모든 통계적 유의수준은 0.05로 하였다. 본 연구의 결과 시각리듬자극(RVS)이 적용된 실험군에서 보행속도와 분속수, TUG 시간이 유의하게 증가하였고(p<.05), 고유수용성감각이 유의하게 증가하였다(p<.05). 결론적으로 시각리듬자극(RVS)을 이용한 보행운동이 만성 뇌졸중 환자의 보행과 고유수용성감각에 효과가 있는 것으로 나타났다. 향후 만성 뇌졸중 환자에게 음악적 요소인 시각리듬자극 (RVS)이 정신적 육체적 기능을 상실한 뇌졸중 환자의 재활치료 프로그램에 적용하는 연구가 필요할 것으로 기대되어진다.

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Knee Rehabilitation System through EMG Signal analysis and BLDC Motor Control (근전도 신호 분석 및 BLDC모터 제어를 통한 무릎재활시스템)

  • Kwon, Hyeong-Gi;Ko, Hyeong-Gyu;Song, Yoon-Oh;Son, Eui-Seong;Lee, Boong-Joo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.14 no.5
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    • pp.1009-1018
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    • 2019
  • This paper describes the design and implementation of a rehabilitation medical device based on a EMG measurement. Rehabilitation systems are controlled using BLDC motors and motor drives. The BLDC motor drive controls the operation and the speed controls the drive through the external servo motor. In addition, potentiometer coupled to the outside of the motor transmits information about the position of the load being rotated by the motor. The rehabilitation algorithm is controlled by limiting the maximum angle of 0 to 120 by utilizing the motor according to the user setting stage during the rehabilitation exercise. The walking algorithm compensates motor control for the low leg of the signal using the difference value of the signal obtained with the surface denser attached to both inner muscles. The motor and surface denser are utilized for the walk motion to control the maximum angle of 0 to 80.

Analysis of Time-Distance and Kinematic Gait Parameters Between Unilateral Trans-Tibial Amputees and Healthy Subjects (하퇴의지 착용자와 정상성인 보행간의 시간-거리 및 운동형상학 변수 분석)

  • Kang, Pil;Kim, Jang-Hwan;Choi, Houng-Sik;Cynn, Heon-Seock
    • Physical Therapy Korea
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    • v.9 no.4
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    • pp.61-68
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    • 2002
  • 본 연구는 하퇴의지 착용자와 정상 성인간의 시간-거리, 운동형상학 변수를 조사하고 비교하기 위하여 실시하였다. 연구 대상자는 외상으로 인한 하퇴 절단자로서 내골격식 하퇴의지를 착용하고 독립적으로 보행이 가능한 20명과 연령, 신장으로 짝짓기한 대조군(matched control group) 20명이 참여하였다. 보행분석은 Vicon Clinical Manager Software (VCM)를 내장한 PC에 5개의 카메라가 연결되어 있는 Vicon 512 Motion Analysis System (MAS, Oxford Metrics Inc.)을 이용하였다. 하퇴의지 착용군의 단하지 지지시간이 정상 성인군에 비해 유의하게 짧았으며(p<.05), 하퇴의지 착용군에서 슬관절의 선전이 증가되었으며 족관절의 저측굴곡이 감소되었다(p<.05). 하퇴절단자들의 보행개선을 위해서는 하퇴절단자 개인의 보행능력에 알맞은 부품의 선택, 체계적인 보행훈련 및 평가, 보행능력 향상을 위한 근력강화 프로그램 등 체계적인 재활훈련 프로그램이 필요한 것으로 사료된다. 본 연구는 연구대상자의 수가 제한되어 있으므로 연구의 결과를 일반화하기에는 제한점이 있으나, 향후 편측 하퇴절단자의 보행연구에 대한 기초 자료로 사용될 수 있을 것이라고 생각된다.

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Design of the control Algorithm for Improvement of the Convenience the Active-type Walking Aid (전동 보행보조기의 편의성 향상을 위한 제어기 설계)

  • Lee, D.K.;Kong, J.S.;Goh, M.S.;Kang, S.J.;Lee, S.M.;Lee, E.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.5 no.1
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    • pp.17-25
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    • 2011
  • This paper aims to find the optimal control gain for enhancing the convenience of electric walking frames and design a control algorithm. With the recent advances in medical technology, there has been a rapid increase in the aging population and a variety of mobile walking frames have been developed for improvement of the quality of life. However, the manual walking frames of such mobile aids don't have any electric motor which helps facilitate elderly users' walking and thus are not efficient enough for the old people of weak strength to use especially when moving on uneven surfaces such as slopes or thresholds. The types of electric walking frames have been developed to overcome such inefficiency. Electric walking frames require users' control operations for motor driving unlike manual frames. Therefore, when they are not properly handled, it causes considerable inconvenience to their users. The present study compared the electric walking frames with manual ones in terms of operational convenience and attempted to improve the user convenience of walking frames varying the control value for user convenience based on certain standards. This paper presented a haptic sensor designed to recognize the will to walk and measure the degree of convenience and proposed a control algorithm for improvement of convenience. For user convenience, this paper evaluated the relative convenience of walking frames in view of changing differences between the center of vehicle (COV) and the center of position (COP). With the employment of an electric walking frame and a new measuring method, all the processes were experimentally tested and validated.

Rehabilitation Training System for Leg Rehabilitation based on Motion capture (하지 재활을 위한 모션 캡쳐 기반 재활 훈련 시스템 개발)

  • Kim, Sang-Yun;Jung, Seong-Dae;Kim, Sang-Ho;Jung, Soon-Ki;Lee, Yang-Soo;Kim, Chul-Hyun
    • 한국HCI학회:학술대회논문집
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    • 2007.02a
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    • pp.109-114
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    • 2007
  • 본 논문에서는 하지 편마비 환자의 편마비 정도를 측정하여 사용하지 않으려고 하는 근육을 강제적으로 사용하도록 하여 하지를 재활할 수 있도록 훈련하는 시스템을 제안한다. 제안하는 시스템은 체중 부하 및 하지 슬관절의 움직임을 측정하여, 이를 통해 환자가 자신의 편마비 정도를 인식할 수 있도록 화면에 출력함으로써 환자가 피드백을 통해 강제적으로 편마비 하지를 사용 하도록 훈련 시킬 수 있다. 하지 슬관절(Knee Joint)의 움직임은 기존의 방법과는 달리 적외선 필터를 장착한 단일 카메라를 통한 모션 캡쳐 기술을 사용하여 획득한다. 또한, 재활 시스템에 가상현실 기술을 도입하여 무릎을 동시에 굽혔다가 펴는 기립훈련과 양측 하지를 이용한 보행훈련을 입력으로 가상공간을 탐험할 수 있게 함으로써 환자가 흥미롭게 재활훈련을 받을 수 있도록 하였다.

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